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Informaţia medicală

Informaţia medicală. Dr. C B aicus www.baicus.ro. metodologia cercetării (validitate). = EPIDEMIOLOGIA CLINICĂ. cercetare clinică. cercetător. ŞI BIOSTATISTICA. articol, prezentare. practician, manager. evaluarea critică. rezultate. MEDICINA BAZATĂ PE DOVEZI.

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Informaţia medicală

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  1. Informaţia medicală Dr. C Baicus www.baicus.ro

  2. metodologia cercetării (validitate) = EPIDEMIOLOGIA CLINICĂ cercetare clinică cercetător ŞI BIOSTATISTICA articol, prezentare practician, manager evaluarea critică rezultate MEDICINA BAZATĂ PE DOVEZI

  3. EPIDEMIOLOGIA CLINICĂMEDICINA BAZATĂ PE DOVEZI

  4. Catedra de Epidemiologie Clinică a Universităţii McMaster din Hamilton, Canada david sackett brian haynes gordon guyatt peter tugwell

  5. Nivelul dovezii (EBM) buna I. Studii clinice randomizate II. Studii de cohortă III. Studii caz-martor IV. Studii transversale V. Studii de caz & serii de cazuri VI. Laborator, opinia expertului slaba VALIDITATE

  6. Sursa informaţiei • tratate • medline • surse de informaţie secundară • cursuri • simpozioane şi congrese • broşuri de la firmele farmaceutice • păreri avizate ???

  7. “5S” al lui Brian Haynes Exemple • Suport decizional computerizat • Clinical evidence/ CKS/ DynaMed/ Ess Evid/ UpToDate • EBM / Ess Evid • Cochrane/ • Studii originale/EvidUpdates/ Medline-Clinical Queries Sisteme Sumare Sinopsisuri Sinteze Studii   R B Haynes. Evid Based Med 2006

  8. 6 L Clinical Evidence (sumare) Evidence-Based Medicine/ ACP Journal Club (120 sinopsisuri) Proiect MORE >4000 cititori santinela Relevanta clinica Evidence Updates (BMJ updates) HIRU McMaster Filtru (validitate metodologica) Scanare articole (>130 reviste, > 50.000 articole)

  9. Sumare (rezumate) • Carti de MBD (EB Cardiology, EB Rheumatology etc.) • Up to Date (www.uptodate.com) • DynaMed (www.ebscohost.com/dynamed) • Clinical Evidence (www.clinicalevidence.com) • InfoPoems/Inforetriever (www.infopoems.com)  Essential Evidence Plus (www.essentialevidenceplus.com) • Clinical Knowledge summaries (cks.library.nhs.uk/home)

  10. www.uptodate.com

  11. www.ebscohost.com/dynamed

  12. www.clinicalevidence.com

  13. http://cks.library.nhs.uk

  14. Sumare • Revizuite cel putin anual; fiecare capitol sa aiba trecuta data ultimei revizuiri • Selecteaza si evalueaza dovezile intr-un mod explicit, descris la inceputul textului. • Citeaza articolele originale pe care se bazeaza, pentru ca cititorii sa poata vedea data publicarii si eventual ajunge la ele pentru detalii

  15. Sinopsisuri • ACP Journal Club / EBM • InfoPOEMS (Essential Evidence Plus) • Titlu declarativ care furnizeaza destula informatie

  16. http://ebm.bmj.com/

  17. Patient Oriented Evidence that Matters

  18. Sinteze (sistematice) • Cochrane Database for Systematic Reviews • EBM • Essential Evidence • Clinical evidence • MEDLINE

  19. www.cochrane.org www.cochrane.de

  20. Studii BMJupdates+→Evidence Updates MEDLINE / Clinical Queries

  21. www.bmjupdates.com

  22. www.ncbi.nlm.nih.gov/pubmed

  23. antiphospholipid

  24. (antiphospholipid) AND (randomized controlled trial[Publication Type] OR (randomized[Title/Abstract] AND controlled[Title/Abstract] AND trial[Title/Abstract]))

  25. antiphospholipid

  26. MEDLINE • MeSH • Clinical Queries

  27. Operatorii logici AND OR NOT

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